State guide
Massachusetts Home Care Compliance
All six compliance areas for Massachusetts home care agencies, each cited to official sources.
Last reviewed: July 24, 2026
Massachusetts at a glance Massachusetts licenses neither home health nor non-medical home care — but change is pending: the House passed 'An Act to Improve Massachusetts Home Care' (H.4706) in November 2025, and as of mid-2026 the companion measure was still awaiting Senate action, so no license is yet required. Massachusetts holds at a $15.00 minimum wage (unchanged since 2023), with earned sick time (40 hours), a Domestic Workers' Bill of Rights, and a new pay transparency law effective October 2025 for employers with 25+ employees.
Requirements by category
Health Benefits & ACA → Massachusetts layers a pre-ACA state individual mandate, Form MA 1099-HC, the annual HIRD report, and PFML on top of federal rules, with… MA Health ConnectorYesYes Occupational Health → Massachusetts currently has no state licensure for home health or home care agencies (Medicare certification and MassHealth rules only); a… No specific ruleFrom 1st employee Caregiver Training → Massachusetts still has no state licensure for private-pay, non-medical home care agencies as of July 2026 — a licensure bill… 75 (federal)None statewide (licensure bill…12 hrs/yr (federal, Medicare HHAs) Wage & Hour → Massachusetts holds at a $15.00 minimum wage (unchanged since 2023), with earned sick time (40 hours), a Domestic Workers' Bill of Rights,… $15.001.5x >40 (treble damages)Yes (40 hrs; paid if 11+) Licensure & Survey Readiness → Massachusetts licenses neither home health nor non-medical home care — but change is pending: the House passed 'An Act to Improve… MA EOHHS (proposed) / DPH (survey)No licensure statute (H.4706…None yet — non-medical licensure… Background Checks → Massachusetts relies on CORI (state criminal offender record) checks for home health and homemaker agency workers, mandatory for… NoNurse aide registry; sex…
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Reviewed quarterly by Vitable Health.